HCPCS L0120
Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar)
Current code39 hospitals with prices
What Washington hospitals publish for this code
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $14.00 – $27.20 | $35.00 – $68.00 |
| Deaconess Medical Center | — | $14.00 – $27.20 | $35.00 – $68.00 |
| Harborview Medical Center | — | $35.17 – $40.93 | $50.24 – $58.47 |
| Highline Medical Center | — | $20.60 – $67.37 | $67.44 – $221 |
| Kadlec Regional Medical Center | — | $8.75 – $92.88 | $12.50 – $133 |
| Mary Bridge Children's Hospital | — | $14.00 – $27.20 | $35.00 – $68.00 |
| MultiCare Auburn Medical Center | — | $14.00 – $27.20 | $35.00 – $68.00 |
| MultiCare Covington Medical Center | — | $14.00 – $27.20 | $35.00 – $68.00 |
| MultiCare Good Samaritan Hospital | — | $11.20 – $27.20 | $28.00 – $68.00 |
| MultiCare Valley Hospital | — | $14.00 – $27.20 | $35.00 – $68.00 |
| Olympic Medical Center | — | $12.80 – $426 | $16.00 – $533 |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| PeaceHealth Southwest Medical Cente | $42.29 | $48.75 | $75.00 |
| PeaceHealth St John Medical Center | $31.71 – $42.69 | $48.10 | $74.00 |
| PeaceHealth St Joseph Medical Center | $42.69 | $63.70 | $98.00 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $11.52 – $199 | $16.45 – $285 |
| Providence Centralia Hospital | — | $6.78 – $117 | $13.04 – $226 |
| Providence Holy Family Hospital | — | $11.52 – $199 | $16.45 – $285 |
| Providence Mount Carmel Hospital | — | $10.84 – $188 | $15.48 – $268 |
| Providence Regional Medical Center Everett | — | $7.20 – $125 | $13.85 – $240 |
| Providence St Joseph Hospital | — | $10.84 – $188 | $15.48 – $268 |
| Providence St Mary Medical Center | — | $6.85 – $119 | $9.78 – $169 |
| Providence St Peter Hospital | — | $6.78 – $117 | $13.04 – $226 |
| Seattle Children's Hospital | $64.18 – $81.17 | $250 | $250 |
| St Anthony Hospital | — | $20.52 – $67.11 | $67.44 – $221 |
| St Clare Hospital | — | $19.44 – $63.60 | $67.44 – $221 |
| St Elizabeth Hospital | $11.47 – $45.67 | $23.84 – $77.96 | $67.44 – $221 |
| St Francis Community Hospital | — | $21.17 – $69.24 | $67.44 – $221 |
| St Joseph Medical Center | — | $22.34 – $73.07 | $67.44 – $221 |
| St Michael Medical Center | — | $29.77 – $97.38 | $67.44 – $221 |
| Swedish Edmonds Hospital | — | $4.46 – $77.24 | $9.29 – $161 |
| Swedish Issaquah | — | $4.46 – $77.24 | $9.29 – $161 |
| Swedish Medical Center | — | $4.46 – $77.24 | $9.29 – $161 |
| Swedish Medical Center / Cherry Hill | — | $4.46 – $77.24 | $9.29 – $161 |
| Tacoma General Allenmore Hospital | — | $14.00 – $27.20 | $35.00 – $68.00 |
| University of Washington Medical Ctr | — | $32.61 – $80.96 | $46.59 – $116 |
| Virginia Mason Medical Center | — | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | — | $8.80 – $16.40 | $22.00 – $41.00 |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Equipment fee, Washington
- $40.66 (fee)